Aortic Root Surgery

by Yankah, Charles A.; Weng, Yuguo, M.D.; Hetzer, Roland

• ISBN13: 9783798518681
• ISBN10: 3798518688
• Edition: 1st
• Format: Hardcover
• Copyright: 2010-01-03
• Publisher: Steinkopff Darmstadt

Summary

The surgical treatment of the aortic valve and root disease, organic and ischemic mitral regurgitation, and endocarditis has made great strides. Still, there is the well-known dilemma: on the one hand the need for anticoagulation in patients with mechanical valves that otherwise guarantee long-term functioning and, on the other, the unpredictable durability of biological substitutes and of valve repair procedures which, per se, do not require anticoagulation. The choice of procedure is determined by factors such as patients' age, metabolic and bleeding disorders, and bleeding preconditions, as well as such critical issues as the desire to bear children in young women.The book contains a collection of proceedings of The Berlin Heart Valve Symposium 2008 and The Berlin Mitral Valve Repair Symposium at the joint meeting of the Society for Heart Valve Disease and the Heart Valve Society of America in June 2009. It will be attended by internationally renowned experts who will focus on current surgical approaches to and evolving trends in aortic and mitral valve repair, aortic root and valve replacement with pulmonary autograft, aortic allograft, stentless and stented bioprostheses. Further contributions will deal with recent advances in catheter-based percutaneous and transapical techniques, ablation techniques for atrial fibrillation, tissue engineering of heart valves, multi-modality imaging, and anticoagulation.

Table of Contents

Imaging of the aortic root
Perioperative imaging for assessing aortic and mitral valve diseases and surgical procedures	p. 3
Innovations in aortic valve surgery
The aortic root	p. 13
Percutaneous transluminal aortic valve replacement: The CoreValve prosthesis	p. 22
Transapical aortic valve implantation - a truly minimally invasive option for high-risk patients	p. 32
From minimally invasive to percutaneous aortic valve replacement	p. 46
Sutureless equine aortic valve replacement	p. 57
The Ross operation: Aortic valve and root replacement with pulmonary autograft
Pulmonary autograft or aortic allograft for surgical treatment of active infective aortic valve endocarditis: a review of the literature	p. 67
The Ross operation: two decades of clinical experience	p. 74
Aortic valve repair and valve sparing root procedures
The bicuspid aortic valve	p. 89
From dynamic anatomy to conservative aortic valve surgery: the tale of the ring	p. 102
Yacoub/David techniques for aortic root operation: success and failures	p. 133
Aortic annuloplasty	p. 144
Correction of aortic valve incompetence combined with ascending aortic aneurysm by relocation of the aortic valve plane through a short-length aortic graft replacement	p. 178
Using BioGlue to achieve hemostasis in aortic root surgery	p. 185
Endocarditis
Challenges in the surgical management of infective endocarditis	p. 195
Clinical results of the Shelhigh“ stentless bioprosthesis in patients with active infective endocarditis: 8-year single center experience	p. 210
Double valve endocarditis and evolving paraannular abscess formation	p. 223
Aortic root abscess: reconstruction of the left ventricular outflow tract and allograft aortic valve and root replacement	p. 243
Implantation techniques of freehand subcoronary aortic valve and root replacement with a cryopreserved allograft for aortic root abscess
Surgery for atrial fibrillation
Cryoablation for the treatment of atrial fibrillation in patients undergoing minimally invasive mitral valve surgery - Technique and recent results	p. 291
Minimally invasive endoscopic ablation on the beating heart in patients with lone atrial fibrillation	p. 302
Hemodynamic evaluation of the bioprosthetic aortic valves
Evaluation of bioprosthetic valve performance as a function of geometric orifice area and space efficiency - a reliable alternative to effective orifice area	p. 313
Long-term results of biological valves
Stentless bioprostheses
Stented and stentless aortic bioprostheses: competitive or complimentary?	p. 341
Edwards Prima Plus Stentless Bioprosthesis: long-term clinical and hemodynamic results	p. 346
The Cryo-Life O'Brian stentless valve: 1991-2008	p. 356
Medtronic stentless Freestyle“ porcine aortic valve replacement	p. 366
The ATS 3f Aortic Bioprosthesis	p. 386
The Vascutek Elan stentless porcine prosthesis - the Glasgow experience	p. 396
Sorin pericardial valves - Operative technique and early results of biological valves	p. 406
Stented bioprostheses
The changing role of pericardial tissue in biological valve surgery: 22 years' experience with the Sorin Mitroflow stented pericardial valve	p. 417
20 years' durability of Carpentier-Edwards Perimount stented pericardial aortic valve	p. 441
Twenty-year experience with the St. Jude Medical Biocor bioprosthesis in the aortic position	p. 452
20-Year durability of bioprostheses in the aortic position	p. 463
Clinical results including hemodynamic performance of the Medtronic Mosaic porcine bioprosthesis up to ten years	p. 470
Aortic root replacement with the Bio Valsalva prosthesis	p. 487
Valve replacement in renal dialysis patients: bioprostheses versus mechanical prostheses	p. 498
Replacement of bioprostheses after structural valve deterioration	p. 503
Predictors of patient's outcome
Predicted outcomes after aortic valve replacement in octogenarians with aortic stenosis	p. 523
Predicted patient outcome after bioprosthetic AVR and the Ross operation	p. 530
Anticoagulation
Anticoagulation and self-management of INR: mid-term results	p. 541
Tissue engineering
Biomatrix-polymer hybrid material for heart valve tissue engineering	p. 551
Standards for the in vitro fabrication of heart valves using human umbilical cord cells	p. 564
Tissue engineering with a decellularized valve matrix	p. 574
Regularatory issues on tissue valves
Human tissues for cardiovascular surgery: regulatory requirements	p. 581
Concluding remarks	p. 588
Acknowledgments	p. 590
Atlas of biological valves	p. 591
Subject index	p. 599
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